Individual
ANNA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1524 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 827-3601
Mailing address
PO BOX 171078, AUSTIN, TX 78717-0040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-201671
TX
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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